OrganizationActive
Bruce D Nelson
NPI 1891965562 · Eyewear Supplier · Detroit Lakes, MN
Provider details
- NPI number
- 1891965562
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Nelson, Optician/Owner(218) 847-5663
Specialties & taxonomies
Suppliers
Practice location
1131 Jackson Ave
Detroit Lakes, MN 56501-3618
Phone: (218) 847-5663
Fax: (218) 847-0964
Approximate (ZIP-level) locationGet directions
Mailing address
1131 Jackson Ave
Detroit Lakes, MN 56501-3618
Other names (DBA / former)
- Doing business as
- Pelican River Optical
Registry dates
- Enumerated
- 2008-03-09
- Last updated
- 2008-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.